Sculpt Surgical, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA08778700 Issued in NJ

Legal business name

SCULPT SURGICAL, LLC

Practice address

261 James St Ste 1B
Morristown, NJ 07960-6348

Phone

(973) 577-6050

Fax

(973) 577-6049

NPI assigned

Feb 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mehul Kamdar, M.D.NPI 1275786089

Title

Physician

Phone

(973) 577-6050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Sculpt Surgical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sculpt Surgical, LLC

  • Specialist
  • Morristown, NJ
  • NPI 1366864498
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehul Rajnikant Kamdar, MD

  • Plastic Surgery Physician
  • Morristown, NJ
  • NPI 1275786089
  Medicare reassignment Care Compare group Authorized official
• Lauren Abderhalden, PA-C

  • Plastic Surgery Physician
  • Morristown, NJ
  • NPI 1073408738
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1376840801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RUTHVEN PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013621",
            "telephone_number": "917-656-1977",
            "fax_number": "973-577-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 JAMES ST STE 1B",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606348",
            "telephone_number": "973-577-6050",
            "fax_number": "973-577-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPT SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-577-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08778700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Jane Scoggins, DMD
• Michael A Scola, M.D.
• Dina Emma Scott, MA, LAC, NCC
• Erin Scott, LPC
• Sculpt Surgical, LLC
• Seabrook House, Inc.
• Seaton Hackney Stables
• Jodi Komoroski Sebastian, MD
• Vivianne Baro Sebastian, PT
• Jeffrey Segal, PSY.D.

• Plastic Surgery Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.